Provider Demographics
NPI:1215145511
Name:ZIEMKE, NANCIE C (PSYCHOLOGIST)
Entity type:Individual
Prefix:DR
First Name:NANCIE
Middle Name:C
Last Name:ZIEMKE
Suffix:
Gender:F
Credentials:PSYCHOLOGIST
Other - Prefix:DR
Other - First Name:NANCIE
Other - Middle Name:R
Other - Last Name:ZIEMKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LP
Mailing Address - Street 1:1663 S HUDSON ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-3932
Mailing Address - Country:US
Mailing Address - Phone:720-507-8479
Mailing Address - Fax:323-386-0773
Practice Address - Street 1:1663 S HUDSON ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222
Practice Address - Country:US
Practice Address - Phone:720-507-8479
Practice Address - Fax:323-386-0773
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2791103TC0700X, 103TF0000X, 103TP2701X, 103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy